Organization Active NPI

Dr. Massala Reffell, O.D., PLLC

  • Optometrist
  • Westworth Village, TX
National Provider Identifier
1700101243
Registry record updated Mar 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06876TG Issued in TX
Legal business name
DR. MASSALA REFFELL, O.D., PLLC
Practice address
6760 Westworth Blvd
Westworth Village, TX 76114-4002
Phone
(817) 989-2424
Fax
(817) 989-2427
NPI assigned
Mar 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Massala Reffell, O.D.
Title
Owner
Phone
(817) 989-2424

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 06876TG TX Primary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X 06876TG TX
Occupational Vision OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WX0102X 06876TG TX

Addresses

Primary practice location

6760 Westworth Blvd
Westworth Village, TX 76114-4002

Mailing address

6760 Westworth Blvd
Westworth Village, TX 76114-4002
Phone (817) 989-2424

Other names 1

  • I Doing business as

National Provider Directory

National Provider Directory

Locations

6760 Westworth Blvd
Westworth Village, TX 76114
Phone (817) 763-9820

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269648000000",
    "number": "1700101243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 WESTWORTH BLVD",
            "city": "WESTWORTH VILLAGE",
            "state": "TX",
            "postal_code": "761144002",
            "telephone_number": "817-989-2424",
            "fax_number": "817-989-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 WESTWORTH BLVD",
            "city": "WESTWORTH VILLAGE",
            "state": "TX",
            "postal_code": "761144002",
            "telephone_number": "817-989-2424",
            "fax_number": "817-989-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MASSALA REFFELL, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-27",
        "last_updated": "2010-03-27",
        "status": "A",
        "authorized_official_last_name": "REFFELL",
        "authorized_official_first_name": "MASSALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-989-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06876TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "06876TG",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "06876TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westworth Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.